Active NPI
Faro Owiesy, M.D
- Family Medicine Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A87796
- Practice address
- 1820 Fullerton Ave Ste 120
Corona, CA 92881-3100 - Phone
- (951) 371-9500
- Fax
- (951) 371-9194
- NPI assigned
- Aug 13, 2005
- Reactivated
- Mar 31, 2006
- Last updated
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A87796 | CA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A87796 | CA |
Addresses
Primary practice location
1820 Fullerton Ave Ste 120
Corona, CA 92881-3100
Mailing address
802 Magnolia Ave Ste 106
Corona, CA 92879-3125
Phone (951) 371-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A877961 | Medicaid | CA |
Other names 1
- Dr. Faro T Owiesy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1820 Fullerton Ave
Suite 120
Corona, CA 92881-3100
Phone (951) 371-9500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Vitae Hospice Care, Inc. | Family Medicine | Current | Accepting new patients |
| Faro T. Owiesy, M.D., Inc | Family Medicine | Current | Accepting new patients |
Locations
1820 Fullerton Ave
Ste 120
Corona, CA 92881
Phone (951) 371-4400
802 Magnolia Ave
Ste 106
Corona, CA 92879
Phone (950) 270-0882
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arbor Vitae Hospice Care, Inc. | Hospice | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer Corporate Director W-2 Managing Employee Operational/Managerial Control |
May 8, 2013 Jan 1, 2012 Jan 1, 2012 Jan 1, 2012 Jan 1, 2012 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Norco, CA
- NPI 1578831129
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corona Doctors Medical Clinic
- Family Medicine Physician
- Corona, CA
- NPI 1891724886
-
- Community Based Hospice Care Agency
- Norco, CA
- NPI 1578831129
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Norco, CA
- NPI 1578831129
-
- Home Health Agency
- Corona, CA
- NPI 1649419128
-
- Home Health Agency
- Riverside, CA
- NPI 1578882833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1568464048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 MAGNOLIA AVE STE 106",
"city": "CORONA",
"state": "CA",
"postal_code": "928793125",
"telephone_number": "951-371-9500",
"fax_number": "951-278-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 FULLERTON AVE STE 120",
"city": "CORONA",
"state": "CA",
"postal_code": "928813100",
"telephone_number": "951-371-9500",
"fax_number": "951-371-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWIESY",
"first_name": "FARO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-13",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A87796",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A87796",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A877961",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FARO",
"last_name": "OWIESY",
"middle_name": "T",
"prefix": "DR.",
"credential": "M.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.